Organization
VYM@X
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YURELIS GONZALEZ (BCABA)
(305) 450-1969
Entity
Organization
Contact information
Practice address
4006 GREENWOOD DR, FORT PIERCE, FL 34982-6151
(305) 450-1969
Mailing address
4006 GREENWOOD DR, FORT PIERCE, FL 34982-6151
(305) 450-1969
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
03/13/2026
Last updated
03/13/2026
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